Active NPI
Pareshkumar G Patel, SPECIALIST ASSISTANT
- Orthopedic Assistant
- Fremont, CA
National Provider Identifier
1255046983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Assistant
- License
- 000256
- Practice address
- 4805 Mallard CMN
Fremont, CA 94555-2829 - Phone
- (508) 915-1418
- NPI assigned
- Jan 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 000256 | NY | Primary |
Addresses
Primary practice location
4805 Mallard CMN
Fremont, CA 94555-2829
Mailing address
4805 Mallard CMN
Fremont, CA 94555-2829
Phone (508) 915-1418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000256 | NY | MD | Acupuncturist |
Interoperability endpoints
- paresh.patel.1@21645.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1255046983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 MALLARD CMN",
"city": "FREMONT",
"state": "CA",
"postal_code": "945552829",
"telephone_number": "508-915-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 MALLARD CMN",
"city": "FREMONT",
"state": "CA",
"postal_code": "945552829",
"telephone_number": "508-915-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PARESHKUMAR",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "SPECIALIST ASSISTANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": "NY",
"license": "000256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.